Program Manager Clinical, Senior- Licensure Required

Blue Shield of California

Los Angeles, CA Posted 7/6/2025 Full Time

Your Role

The Social Programs team is responsible for the support, oversight and administration of Social Programs benefits and services ensuring that our eligible members receive appropriate services in-line with benefits and services that is member-centered and in the communities where our members seek care. The Program Manager Clinical, Senior will report to the Senior Manager, Social Programs Management. In this role you will primarily provide administrative and operational organization, compliance oversight, updates, and contract adherence.

Your Work

In this role, you will:

  • Direct small-scale, complex programs/projects that may involve multiple internal and external stakeholders
  • Manage the development and implementation of process of the company's projects involving departmental or cross-functional teams focused on delivery of new or existing internal/external programs and/or products
  • Be responsible for assigning and monitoring the work of team members and providing guidance and leadership
  • Develop the program, integrated program plan, resource plan, contingency plan, and related project management artifacts
  • Define and track program milestones while developing, maintaining, and reporting on an overall integrated delivery plan
  • Provide overall program leadership, guidance, and manage all aspects of a given program, including contract, budget, reporting, operations, and vendor/provider oversight
  • Develop strategies to ensure optimum support for projects and for the day-to-day operational activities
  • Lead cross-functional meetings and foster teamwork; drive escalation and resolution of issues, while promoting collaboration and coordination across broad categories of stakeholders
  • Write and maintain processes and procedures to ensure compliance
  • Perform other assigned duties, as required

Your Knowledge and Experience

  • Requires a bachelor’s degree or equivalent experience
  • Requires at least 5 years of prior relevant experience
  • Requires LCSW, LMFT, LPCC, PSYD or similar by the Board of Behavioral Sciences
  • Requires experience collaborating with provider groups, community resources, and agencies
  • Requires program, project, and vendor/provider management experience
  • Requires strong administrative skills including proficiency in Excel, Microsoft Word and Microsoft Outlook and the ability to multitask and track multiple projects/deliverables at one time
  • Requires strong analytical, problem solving, and communication skills
  • Requires at least 2 years prior relevant experience working with a Managed Care Plan and Medi-Cal
JOB LOCATION:
Los Angeles, CA 90079

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